-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, TFHB3LmRgAnaVxG5AhT8pCD5h37opTPtPRLc+nU5P1KM2VLClL2JmLJdyuoa84ZQ /gttM2woO8HSjPqSg5isdA== 0000913569-00-000018.txt : 20000215 0000913569-00-000018.hdr.sgml : 20000215 ACCESSION NUMBER: 0000913569-00-000018 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20000214 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: AMERICAN DENTAL TECHNOLOGIES INC CENTRAL INDEX KEY: 0000874388 STANDARD INDUSTRIAL CLASSIFICATION: ELECTROMEDICAL & ELECTROTHERAPEUTIC APPARATUS [3845] IRS NUMBER: 382905258 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: SEC FILE NUMBER: 005-42033 FILM NUMBER: 538853 BUSINESS ADDRESS: STREET 1: 18860 WEST TEN MILE ROAD STREET 2: STE 1100 CITY: SOUTHFIELD STATE: MI ZIP: 48075 BUSINESS PHONE: 3136490000 MAIL ADDRESS: STREET 1: 18860 WEST TEN MILE ROAD CITY: SOUTHFIELD STATE: MI ZIP: 48075 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: NICHOLS CHARLES A CENTRAL INDEX KEY: 0001018976 STANDARD INDUSTRIAL CLASSIFICATION: ELECTROMEDICAL & ELECTROTHERAPEUTIC APPARATUS [3845] STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: STREET 1: 5555 BEAR LANE CITY: CORPUS CHRISTI STATE: TX ZIP: 784045 BUSINESS PHONE: 5122891145 MAIL ADDRESS: STREET 1: 5555 BEAR LANE CITY: CHORPUS CHRISTI STATE: TX ZIP: 78405 SC 13G/A 1 UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13G Under the Securities Exchange Act of 1934 (Amendment No. 1)* AMERICAN DENTAL TECHNOLOGIES, INC. (Name of Issuer) Common Stock (Title of Class of Securities) 025352-10-5 (CUSIP Number) December 31, 1999 (Date of Event Which Requires Filing of This Statement) Check the appropriate box to designate the rule pursuant to which this Schedule is filed: / /Rule 13d-1(b) /x/Rule 13d-1(c) / /Rule 13d-1(d) *The remainder of this cover page shall be filled out for a reporting person's initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter disclosures provided in a prior cover page. The information required on the remainder of this cover page shall not be deemed to be "filed" for the purpose of Section 18 of the Securities Exchange Act of 1934 ("Act") or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes). SCHEDULE 13G CUSIP No. 025352-10-5 1 Name of Reporting Person S.S. or I.R.S. Identification No. of Above Person Charles A. Nichols 2 Check The Appropriate Box If A Member Of A Group* (a) [ ] (b) [ ] 3 SEC Use Only 4 Citizenship or Place of Organization United States 5 Sole Voting Power 498,180 Number Of Shares 6 Shared Voting Power Beneficially -0- Owned By Each 7 Sole Dispositive Power Reporting 498,180 Person With 8 Shared Dispositive Power -0- 9 Aggregate Amount Beneficially Owned By Each Reporting Person 498,180 10 Check Box If The Aggregate Amount In Row (9) Excludes [ ] Certain Shares* 11 Percent Of Class Represented By Amount In Row (9) 6.7% 12 Type Of Reporting Person* IN * SEE INSTRUCTIONS BEFORE FILLING OUT Item 1(a) Name of Issuer: AMERICAN DENTAL TECHNOLOGIES, INC. Item 1(b) Address of Issuer's Principal Executive Offices: 5555 Bear Lane Corpus Christi, TX 78405 Item 2(a) Name of Person Filing: Charles A. Nichols Item 2(b) Address of Principal Business Office: 5555 Bear Lane Corpus Christi, TX 78405 Item 2(c) Citizenship: United States Item 2(d) Title of Class of Securities: Common Stock, $.04 par value Item 2(e) CUSIP No.: 025352-10-5 Item 3. If this statement is filed pursuant to Rules 13d-1(b), or 13d-2(b) or (c), check whether the person filing is a: Not applicable. Item 4. Ownership. (a) Amount Beneficially Owned (as of December 31, 1999): 498,180 (b) Percent of Class: 6.7% (c) Number of shares as to which such person has: (i) sole power to vote or to direct the vote - 498,180 (ii) shared power to vote or to direct the vote - 0 (iii) sole power to dispose or to direct the disposition of - 498,180 (iv) shared power to dispose or to direct the disposition of - 0 Item 5. Ownership of Five Percent or Less of a Class. Not applicable. Item 6. Ownership of More than Five Percent on Behalf of Another Person. Not applicable. Item 7. Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on By the Parent Holding Company. Not applicable. Item 8. Identification and Classification of Members of the Group. Not applicable. Item 9. Notice of Dissolution of Group. Not applicable. Item 10. Certifications. By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were not acquired and are not held for the purpose of or with the effect of changing or influencing the control of the issuer of the securities and were not acquired and are not held in connection with or as a participant in any transaction having that purpose or effect. Signature After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct. Date: February 11, 2000 By: /S/ Charles A. Nichols ----------------------- Charles A. Nichols -----END PRIVACY-ENHANCED MESSAGE-----